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General NPI Number Information
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NPI Number | 1124474150
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Entity Type | Organization
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Legal Business Name | ACT MEDICAL ALERT SERVICES LLC
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 05/09/2016
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Provider Practice Location Address
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Address Line | 7199 MADDOX RD STE D
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City | LITHONIA
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State | GA
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Zip | 30058-5361
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Country | US
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Telephone | 404-545-9883
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Fax | 404-393-4041
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Provider Business Mailing Address
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Address Line | 1902 COMMONS VIEW CIR
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City | SNELLVILLE
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State | GA
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Zip | 30078-6454
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Country | US
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Telephone | 770-912-6927
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Fax | 404-393-4041
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Authorized Official
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Title or Position | OWNER
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Name | MR. CALEB SAMUEL ANTHONY
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Credential |
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Telephone | 770-912-6927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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